Individual
DR. JESSICA LYNN HOLZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 SE 172ND AVE, VANCOUVER, WA 98684-9542
(360) 882-2778
(360) 604-1772
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60221455
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26006078
PA DL
PA
Enumeration date
06/20/2008
Last updated
01/12/2012
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